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Home My WebLink About3131 CANADIAN DR - Building PermitsApPlicant to fill in all ipaces ezcept ��ose within heavy bortler lines antl sign all'aOD�op�iate tleclarations. CI�COSTAMESA CONSTR�ICTIONPERMIT PERMIJjNO._ _ TRACTNO. LOTNO. UNITNU. _�ect Address � � 2 I G�( /�Lr C�L�� O Y � Applicant's Mailin Addr[e�ss�., � � p Owner's Name �1 �li—�� C'lCi !� ��1�, phone � � l.'6 Address �+tZ��✓��+��4w On GOy il�aSs Aroh/Eng. License No. Address � �i �91--r�--�(1 � Contractor's Nam �—�Phone Address (mailingl � � City License No. LICENSED CONTRACTOR DECLARATION 1 M1ereby afti�m that I am licensetl untler provi5ion5 ot Charter 9(commencinq with section 7000) of Oivision 3 of tne Business antl Protessions Cotle, antl my license is in full force antl effect. License Class License No. Date Siqnature WORKERS' COMPENSATION DECLARATION I hereby afiirm tnat I have a certifiwte of consent to seli-insure or a certificate of Workers' Compensation Insurance, or a certitietl cooY tnereof (Sec[ion 3800, Lab. CJ �icy No. Company Certifietl copy is hereby fumiSM1etl. .� Certifietl copy is filetl with the city Building Division. Oate APPlicant EXEMGTION FftOM WORKERS' COMPENSATION DECIARATION (Thi55ection neetl not be completetl if tM1e permit is fo� ane huntlred ($300) or less). I cer[ify that in tM1e pe�formanGe ol the rk for whicn tM1is pe�m�t is issuetl, I shall not employ any person in any n r so as to become s/�bject to tM1e Wark2sfii Corype`�Li� laws of Calif i. � t,�f�� L,,,,� ^ �ate `7 — I! S Siqnatur _Ep"�^'rj/—/L_,�'ri c n r+ NOTicE: If, aiter making this tlecla ' n, you sh�fltl (�ecome subject to the Workers' Compensalion provisions of tM1e Labo� Cotle, you must Porthwitb comply witM1 such provi5ions or thi5 permit shall be tleemetl �evoketl. CONSTRUCTION LENDING AGENCV 1 hereby aHirm that the�e is a construction lentlin9 agency to� tM1e performance ot the work tor which this permit is issued (Section 309� Civ. C.) lPntler's Name Lentler's Atltlress OWNER BUILOEN C�ECLARATION I hereby atfi�m tha[ I am exempt from the Contrac[o�'s License Law fo� [he following reason (Seciion ]031.5 Business antl Professional Cotle: Any city or imv w�.irn r s a oermit to construct. alter. imorove. tlemolish or repair any structure, prior to its issuance, also requires tM1e applicani tor to file a sianetl statement thai he/she is licensetl pursuant to the � Division 3 of [he Businezs antl Professions Cotle) or that ite/she i5 exempt the�efrom antl tne basis fo� the alleqetl ezemption. Any violation of Section 7031.5 by any applicant for a permit subjects tM1e applicant to a civil enalty of not mare tban five hundretl tlollars (g500). I, as owner of the Propevty � � " will tlo the work, a tl the structure is not intendetl or offeretl for sale (Section 7044, Business antl Professional Cotle: The Contractor'S License Law tloes not ap01y to an owner ot a property who builtls or improves lhereon, antl who tloes such work himself/M1erself or through his or her own em0�oyees, provitletl that such improvements are not intentle� or offeretl for sale. If, however, the bulltlin9 or improvement is soltl within one year of com- pleti0n, the owner will have the burtlen of proving he/she tlitl not builtl or im- prove for lhe purpose of sale). ❑ I, as owner of the property, am exclusively contractinq with licensetl con- tractors to constru[t [he projec[ (Section 7044, Business anC Professions Cotle: The Contractor's License Law tloes nol apply to an owner of property who bullas or improves thereon, antl who contracts tor such projects witn a con- trattor(s) ucense pursuanl to the Contractor'S License Law). I am aware that proo( of their Worke�'s Gompensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section--.P�-- B. & P. C. for IhiS reason ��F.iB that I M1ave re2C �recL I agree to c Iating lo builtling ciN to enter inspection pur o s. Siqnature Drivers' Li e or 55 6( ary(f state that the above city antl county ortlinances antl hereby authorize repre- ve�mentianeA propert for Dale Q— � 1�� TYPE OF CONSTRUCTION LI NEW U ADD LJ ALTEftAT10N LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � A p, �t DESCRIPTION OF WORK/USE OF BLDG. � S Main Buildin9: E TYPE OF PERMIT GRAOING FOUNDATION S7RUCTURAL T Front ❑ TENANT ❑ ELECTftICAL ❑ PLVMBING ❑ MECHANICAL A qear �� o�THER � C Right PR0.1ECTiDESCRIPTION Sp. FT. OCCUPANCV K CONSTRUCTIONTVPE VAWATION$ g Left 20NE GRA�ING CU. VDS. ACRES Ping. Ref. # Remarks:;� Planning Notes: Sink Preventer Irrigati0n Drinking Fountains Floor Drains Fioor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - Strucmral Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/FacL 61t. ICBO # I Heatin9 System & Ducting D-100,000 BTU 0100,OOOBTi Reinspection Fee � $15 CMF 0865-46, �ev. 10/B4 White - 6uiltling: Canary - Appllcant; Pink - Accounting; Goltlenrotl - Asse55o� FEES Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pooi w/Spa Urinal Water Closet Water Heater Water Service A uto-W ash Issue Fee I $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric 5460 9/17/87 Zone Accessory 8uilding: Parking Req./Provided ELECTRICAL Trensformer ❑ 15-50 KW ❑ 50+KW Fan F.A.U. Fixtures Device Bozes Outlets Switches Garbage Disposal Generator �0�5 KW �5-15 KW Meter LJup to 100 amps ' Meter ❑over100amps Su6 Panel Motors DO-7 HP O1'/: - 8 Inc.Solar �9-15 HP �76-15+ Microwave Pole Light Range Standing Sections Trash Compacmr � ReinspeMion Fee $15 Issue Fee IANICAL FEES Hoodor T DEVELOPMENTSERVICESREQUIREMENTS: ypel ❑ Canopy Type I I ❑ Zaning Approved By _ _ Buildin9 Approved By �� Refrigeration SYstem ❑0-700,OOOBTU ❑t00,000BTU System Repair/Alteration Fire Dampers Registers Issue Fee � $ 3 7000 'TL Z O N I N G R E Q M T $ FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. 5 EIECTRICAL $ GRADING S PLANCHECK 50% $ MICROFILM $ ��j%� MECHANICAL $ �� TOTALFEE $ _J�FL`� PIAN CHECK 25% $ CONSTRUCTION AND PLANNING � POOL & SPA . . APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electric8l Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd, 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. S�� Foundation 59. Gas Pipe, � Undrgrnd., Test i � 9. Water Pipe-Undrgrndt .60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. PropertY Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains . 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory FirePlace APPROVALS Permit # _ 21. Ducis, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & 7est 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding . 77. FIXED SYSTEiVI FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED � � 33. Final Electric Noce::12-3�7 LE�' CqR�. L,�•� 34. Final:Heating & Air Conditioning �. ' � ,� 35. Final.Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace , �,. � 38. Final Plumbing � ' 39. Water Service-Final ' 40. Gas Service-Final � 41. Solar pomestic-Final ' ' 42. Backflow Preventer � ' � ' � i i43. Backflow Irrigation , ' (' �44. Landscape Irrigation System � � � �45. Sound Attenuation � �. ' I , 46. Handicap Regulations � I 47. FINALSTRUCTURE & BUILDING . I '� � 48. Special Requirements Completed � � � ' 49. Electric Release to Edison " ; 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY ; No. Date - - a" . Lot 31 Tr. 00 � ' �C��O COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. 00X 9/7 COBTA MEBA. CALIRORNIA For Applicanf fo Ffll In Completely TYPE OR PRINT BUILDING ADDRE66 3131 Canadian DT142 COSTA MESA. CALIFORNIA S MAIL � ARCHITECT � SIZE TEL. NO. TEL. TEL. No. h4i 6 �227 /%� INO. OF BLDGB. O NOW ON LOT rtt KtLtevtu ��- RfAY 11 �351 fINANCE DEPT. CITY OF GOSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIVT NO. I yERyIT�N0.� '1 i2 J� 5..1? i'b'9 �J' RECF/VED GY I OCRTE �Ci1VE[J/ I �ATE I6�5yrEq / % J I 4� ,� �C%-IC BUILDING ADDRESS COSTA MESA. CALIFORNIA FIRE ZONE TYPE GROU APPROVED BY DATE ZONING ZONE I NO. OF I O6E OF NE � R�1 PLAN9 2 BIIILOING W/ a�'t' LEGAL _ � �� . i .��n utiG OF O YARDS EVES EXISTING BLDG. N APPROVED ALLO 06iBACK LINE FROM � � (CENTER LIN¢ 8T.) CeNTER OF STREET � REAR YARD �� FRONT D FT. �, SI�E YARD I LEFT ! RIGHT R. 61DE FT. DESCRIPTION OF WORK n NO. RING Rock BE PERFORMED APPROVED � HEREBY ACKNOWLEDGE THAT 1 HAVe READ TH19 APPLIGTION THE AMOUNT BHOWN UNDER VqLUAT10N �9 FOR THE AND 9TATE THAT iHE ABOVE I3 CORRECT AND AGREE TO COM- PLY WITH ALL CIT' ORDINANCEB PND 6TATE LAWB RE6OLATING PUPP08E OF EeTABL19HING A PeRMIT FEE ONLV. auLLotN6 coNeTRucnoN. VAlUAT10N ' t//� SIGNATURE OF %��„ / �� PERMIT FEE $ �O� PERMITTE � �� Jy��/ _ $ �� PLAN CHECK S / i!/ _ AUTHORIZED AGENT o TOTAL FEE LL